Dr. S. Glitz and Associates

Book an Appointment

To schedule an appointment, please fill in the form with your contact information and preferred appointment time. One of our team members will contact you to confirm the details of your booking.

You can also contact us directly at 519-284-1540 to book an appointment during regular business hours.

Please note that all the fields followed by an * are mandatory.

Please print and fill out our medical history form and bring with you for your appointment.

Click here to download & print.


Full Name*:



for confirmation email only, will not be given to a third party.

Preferred Appointment Date*:

Preferred Appointment Time*:


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